Successful endoscopic hemoclipping and conservative management for typhoid fever complicated by massive intestinal bleeding and acute pancreatitis: Case report

Medicine
Joon Hyun Cho

Abstract

Massive intestinal bleeding as a complication of typhoid fever has rarely been reported due to the advent of antibiotics. In addition, although several literatures have been issued on the use and success of endoscopic modalities in cases of massive typhoid ulcer bleeding, few have described hemostasis by endoscopic hemoclipping. We describe a case of a 61-year-old Korean female who presented acute episodes of massive lower gastrointestinal bleeding during admission to local hospital with a provisional diagnosis of acute gastroenteritis. She had returned from a trip to Southeast Asia 3 weeks prior to admission DIAGNOSES:: After the result of blood culture was identified as Salmonella typhi, we could make a diagnosis of typhoid fever complicated by massive intestinal bleeding and acute pancreatitis based on elevated serum lipase and computerized tomography (CT) findings. The patient was treated successfully by two repeat colonoscopic hemostasis procedures involving the deployment of hemoclips on ulcers in the terminal ileum and 10-day course of intravenous ciprofloxacin OUTCOMES:: The patient was stable and reported no further episodes of intestinal bleeding or fever during the follow-up time. In addition, acute pancreatitis, whi...Continue Reading

References

Apr 1, 1992·Postgraduate Medical Journal·P Garg, S Parashar
Jan 1, 1991·Scandinavian Journal of Infectious Diseases·P HermansN Clumeck
Apr 1, 1989·The American Journal of Medicine·S E HearneC E Brady
Aug 1, 1984·Radiology·J C PalmazK J Cho
Jul 1, 1994·Transactions of the Royal Society of Tropical Medicine and Hygiene·E SchwartzD R Shlim
Aug 8, 1994·Archives of Internal Medicine·J J MathieuT R Frieden
Mar 18, 1999·Digestive Diseases and Sciences·M KhanA W Sturm
Jul 14, 1999·Gut·S W SchmidM W Büchler
Mar 10, 2000·The American Journal of Gastroenterology·M J ZuckermanE F Dudrey
Nov 29, 2002·The New England Journal of Medicine·Christopher M ParryJeremy J Farrar
May 10, 2003·Emerging Infectious Diseases·John A CrumpFrank J Mahoney
Mar 9, 2004·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·J H LeeJ C Rhee
Jun 23, 2004·Laboratory Animals·Hérida Regina Nunes Marona, Maria Beatriz Bastos Lucchesi
Mar 9, 2005·Emerging Infectious Diseases·W Abdullah BrooksRobert F Breiman
Nov 30, 2007·Pediatrics International : Official Journal of the Japan Pediatric Society·Takeshi AsanoOsamu Fujino
Nov 27, 2008·The Pediatric Infectious Disease Journal·Antoni Martinez-RoigLaia Ymbert-Pellejà
Dec 19, 2012·Cell Host & Microbe·Amy L KullasAdrianus W M van der Velden

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Citations

Sep 18, 2020·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Zaid ImamPrabhleen Chahal

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Methods Mentioned

BETA
lavage
biopsies
biopsy

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